Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient's chewing function through a simple removable prosthesis and conservative on the existing restorations.
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